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SIGNATURE HEALTHCARE OF TERRE HAUTE

Overall Rating

SFF Candidate

Address

3500 Maple Ave

Terre Haute, IN 47804

Contact

8122381555

Certification Date

1992-01-10

Details

CMS Certification Number

155426

Ownership Type

For profit - Limited Liability company

Number of Certified Beds

176

Average Number of Residents per Day

149.3

Provider Type

Medicare and Medicaid

Legal Business Name

JACKSON COUNTY SCHNECK MEMORIAL HOSPITAL

Affiliated Entity Name

SIGNATURE HEALTHCARE

Affiliated Entity ID

474

Ratings

Health Inspection Rating

1

Quality Measure Rating

2

Staffing Rating

1

Staffing

Reported Nurse Aide Staffing Hours per Resident per Day

2.48215

Reported LPN Staffing Hours per Resident per Day

0.79499

Reported RN Staffing Hours per Resident per Day

0.43045

Reported Total Nurse Staffing Hours per Resident per Day

3.70759

Total Number of Nurse Staff Hours per Resident per Day on the Weekend

3.23542

Registered Nurse Hours per Resident per Day on the Weekend

0.37422

Reported Physical Therapist Staffing Hours per Resident Per Day

0.08080

Quality Measures

Long-Stay Quality Measure Rating

2

Short-Stay Quality Measure Rating

3

Inspections

Total Weighted Health Survey Score

183.667

Number of Facility Reported Incidents

1

Number of Substantiated Complaints

35

Number of Citations from Infection Control Inspections

0

Health Inspections

Rating Cycle 1

Standard Health Survey Date

2023-12-19

Total Number of Health Deficiencies

17

Number of Standard Health Deficiencies

12

Number of Complaint Health Deficiencies

8

Health Deficiency Score

234

Number of Health Revisits

1

Health Revisit Score

0

Total Health Score

234

Rating Cycle 2

Standard Health Survey Date

2022-09-16

Total Number of Health Deficiencies

20

Number of Standard Health Deficiencies

17

Number of Complaint Health Deficiencies

6

Health Deficiency Score

128

Number of Health Revisits

1

Health Revisit Score

0

Total Health Score

128

Rating Cycle 3

Standard Health Survey Date

2021-07-28

Total Number of Health Deficiencies

25

Number of Standard Health Deficiencies

18

Number of Complaint Health Deficiencies

8

Health Deficiency Score

144

Number of Health Revisits

1

Health Revisit Score

0

Total Health Score

144

Penalties

Number of Fines

5

Total Amount of Fines in Dollars

200649.00

Number of Payment Denials

1

Total Number of Penalties

6